Physician
MCHS Hospitals INC
MCHS Hospitals INC was paid $11.82M by Medicaid between Jun 2018 and Dec 2024, across 236 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 26% of everything it billed.
33Billing provider infoMCHS HOSPITALS INC
MARSHFIELD, WI 54449
MARSHFIELD, WI 54449
33aNPI1093221434assigned 12/21/2017
33bProvider typeAnesthesiology Physician
28Total paid$11.82M
24GClaims408,119
24DCodes billed236
24AFirst – last monthJun 2018 – Dec 2024
Compared with peers
Next to other Anesthesiology Physician providers in Wisconsin
Rank by total paid#2 of 39
Median peer was paid$10K
This provider vs. median1,170×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official MUNSON, JOLYN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 35,484 | $953K | |
| 2019 | 63,918 | $1.86M | |
| 2020 | 62,072 | $1.72M | |
| 2021 | 74,591 | $1.92M | |
| 2022 | 66,952 | $1.86M | |
| 2023 | 63,557 | $1.68M | |
| 2024incomplete | 41,545 | $1.83M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 26% | 86,218 | 78,545 | $3.13M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 10% | 46,943 | 42,396 | $1.21M |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 7.6% | 14,190 | 12,988 | $898K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 4.7% | 16,586 | 14,986 | $556K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 3.2% | 8,357 | 5,426 | $380K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 2.6% | 9,908 | 9,092 | $304K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.7% | 38,589 | 33,744 | $201K |
| 96133 | 1.6% | 1,255 | 1,042 | $192K | |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 1.5% | 3,181 | 1,480 | $181K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.4% | 16,322 | 5,524 | $169K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.4% | 3,946 | 3,646 | $168K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.4% | 3,650 | 3,531 | $163K |
224 more codes
| 90791 | Psychiatric diagnostic evaluation | 1.3% | 1,457 | $157K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 1.3% | 4,217 | $150K |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 1.2% | 4,064 | $144K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 1.2% | 4,865 | $141K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 1.2% | 437 | $138K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.2% | 3,072 | $136K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 1.2% | 2,060 | $136K |
| 96139 | 1.1% | 1,204 | $132K | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 1.1% | 1,604 | $131K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1.0% | 3,873 | $123K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 1.0% | 1,469 | $121K |
| 96132 | 1.0% | 1,302 | $120K | |
| 70450 | Computed tomography, head or brain; without contrast material | 1.0% | 4,989 | $120K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 1,268 | $112K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 2,004 | $101K |
| 99283 | Emergency room visit (moderate) | <1% | 3,658 | $93K |
| 99245 | <1% | 1,234 | $88K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 4,279 | $76K |
| 92523 | <1% | 841 | $75K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 2,834 | $71K |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | <1% | 915 | $67K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 2,892 | $64K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 11,402 | $61K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 1,235 | $58K |
| 67028 | Intravitreal injection of a pharmacologic agent | <1% | 1,096 | $57K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 2,629 | $57K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,238 | $55K |
| 92015 | Determination of refractive state | <1% | 6,592 | $51K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 1,122 | $51K |
| 71045 | Radiologic examination, chest; single view | <1% | 13,035 | $48K |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | <1% | 1,053 | $47K |
| 99460 | <1% | 502 | $46K | |
| 99243 | <1% | 868 | $44K | |
| 97167 | <1% | 782 | $41K | |
| 99205 | Prolong outpt/office vis | <1% | 407 | $41K |
| 3008F | <1% | 4,507 | $39K | |
| 96138 | <1% | 1,264 | $38K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 699 | $37K |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | <1% | 704 | $34K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 1,100 | $34K |
| 73630 | <1% | 5,123 | $32K | |
| 92567 | <1% | 2,199 | $31K | |
| 97597 | <1% | 2,050 | $31K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 751 | $28K |
| 96118 | <1% | 204 | $27K | |
| D7240 | Removal of impacted tooth - completely bony | <1% | 261 | $27K |
| 96131 | <1% | 158 | $24K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 468 | $23K |
| 95811 | <1% | 467 | $23K | |
| 76818 | <1% | 583 | $23K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 710 | $22K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 1,784 | $21K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 706 | $21K |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) | <1% | 635 | $20K |
| 78815 | Positron emission tomography (PET) for limited area imaging | <1% | 385 | $20K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 325 | $19K |
| 92134 | <1% | 2,347 | $19K | |
| 96119 | <1% | 205 | $19K | |
| 96130 | <1% | 171 | $18K | |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | <1% | 353 | $18K |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 1,599 | $16K |
| 71260 | Computed tomography, thorax, diagnostic; with contrast material | <1% | 477 | $14K |
| 71275 | Computed tomographic angiography, chest, with contrast material | <1% | 420 | $14K |
| 99223 | Prolong inpt eval add15 m | <1% | 481 | $14K |
| 73030 | <1% | 2,121 | $14K | |
| 73610 | <1% | 1,996 | $13K | |
| 92557 | <1% | 483 | $13K | |
| 73562 | <1% | 1,900 | $13K | |
| 99480 | Subsequent intensive care, per day, low birth weight infant | <1% | 148 | $12K |
| 72100 | <1% | 1,502 | $12K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 158 | $11K |
| 99443 | <1% | 1,080 | $10K | |
| 99183 | <1% | 134 | $10K | |
| 70551 | Magnetic resonance imaging, brain; without contrast material | <1% | 169 | $9K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 356 | $9K |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | <1% | 226 | $9K |
| 76770 | <1% | 381 | $8K | |
| 74018 | <1% | 1,550 | $8K | |
| 99152 | <1% | 427 | $7K | |
| 90837 | Psychotherapy session, about an hour | <1% | 170 | $7K |
| 99354 | <1% | 149 | $7K | |
| 93320 | <1% | 319 | $7K | |
| 59025 | Fetal non-stress test | <1% | 314 | $7K |
| 92341 | <1% | 316 | $7K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 256 | $6K |
| 92579 | <1% | 234 | $6K | |
| 94010 | <1% | 964 | $6K | |
| 96136 | <1% | 164 | $6K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 230 | $5K |
| 0002A | <1% | 153 | $5K | |
| 73130 | <1% | 844 | $5K | |
| 11721 | <1% | 684 | $5K | |
| 97166 | <1% | 108 | $5K | |
| 96120 | <1% | 82 | $5K | |
| 93971 | <1% | 489 | $5K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 220 | $5K |
| 0001A | <1% | 132 | $5K | |
| 96156 | <1% | 102 | $5K | |
| 73502 | <1% | 877 | $4K | |
| 72125 | Computed tomography, cervical spine; without contrast material | <1% | 143 | $4K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 158 | $4K |
| D0160 | <1% | 113 | $4K | |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 131 | $4K |
| 93325 | <1% | 971 | $4K | |
| 69210 | <1% | 527 | $4K | |
| D7230 | <1% | 26 | $4K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 249 | $4K |
| 0003A | <1% | 125 | $4K | |
| 64493 | <1% | 66 | $4K | |
| 64483 | <1% | 24 | $3K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 88 | $3K |
| 99442 | <1% | 255 | $3K | |
| 93297 | <1% | 532 | $3K | |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 51 | $3K |
| 93970 | <1% | 225 | $3K | |
| 64635 | <1% | 20 | $3K | |
| 99242 | <1% | 194 | $3K | |
| 36573 | <1% | 16 | $3K | |
| 90935 | Hemodialysis procedure with single evaluation by a physician | <1% | 113 | $3K |
| 73110 | <1% | 365 | $3K | |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 122 | $2K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 12 | $2K |
| 90870 | <1% | 25 | $2K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 289 | $2K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 60 | $2K |
| 95251 | <1% | 209 | $2K | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 93 | $2K |
| D0330 | Panoramic radiographic image | <1% | 47 | $2K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 64 | $2K |
| 76830 | Ultrasound, transvaginal | <1% | 73 | $2K |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 65 | $2K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 48 | $2K |
| D9222 | <1% | 79 | $2K | |
| 72040 | <1% | 224 | $2K | |
| 88112 | <1% | 65 | $2K | |
| 93458 | <1% | 13 | $2K | |
| 96116 | <1% | 48 | $2K | |
| 64636 | <1% | 20 | $1K | |
| 94375 | <1% | 185 | $1K | |
| 93922 | <1% | 339 | $1K | |
| 76820 | <1% | 70 | $1K | |
| 76937 | <1% | 199 | $1K | |
| 77080 | <1% | 179 | $1K | |
| 76642 | <1% | 77 | $1K | |
| 90674 | <1% | 373 | $1K | |
| 0054A | <1% | 34 | $1K | |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 42 | $1K |
| 76801 | <1% | 27 | $995.86 | |
| 93976 | <1% | 22 | $963.05 | |
| 72141 | <1% | 12 | $941.27 | |
| 99462 | <1% | 33 | $926.59 | |
| 96137 | <1% | 25 | $839.11 | |
| 99255 | <1% | 15 | $831.18 | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 25 | $766.32 |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | <1% | 29 | $662.78 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 39 | $659.80 |
| 93295 | <1% | 32 | $593.91 | |
| 88342 | <1% | 27 | $592.53 | |
| 99292 | <1% | 39 | $580.24 | |
| 15275 | <1% | 44 | $572.01 | |
| 95886 | <1% | 26 | $562.44 | |
| 92133 | <1% | 58 | $551.30 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 13 | $536.58 |
| 94729 | <1% | 161 | $498.81 | |
| 73564 | <1% | 63 | $482.95 | |
| 95819 | <1% | 26 | $480.56 | |
| 20610 | <1% | 19 | $471.02 | |
| 90677 | <1% | 28 | $466.64 | |
| 73221 | <1% | 17 | $452.27 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 67 | $449.43 |
| 78264 | <1% | 13 | $433.33 | |
| 99220 | <1% | 13 | $387.65 | |
| 64494 | <1% | 19 | $382.20 | |
| D9239 | <1% | 49 | $378.11 | |
| D9243 | <1% | 49 | $378.11 | |
| 96154 | <1% | 14 | $362.38 | |
| 78226 | <1% | 19 | $334.71 | |
| 71250 | <1% | 13 | $312.51 | |
| 77001 | <1% | 40 | $312.26 | |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | <1% | 26 | $298.87 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 25 | $295.17 |
| 74230 | <1% | 27 | $274.98 | |
| 91065 | <1% | 23 | $272.07 | |
| 93880 | <1% | 25 | $266.56 | |
| 88141 | <1% | 34 | $262.17 | |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | <1% | 50 | $249.44 |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 21 | $227.65 |
| 92587 | <1% | 84 | $222.66 | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 13 | $221.44 |
| 93294 | <1% | 39 | $219.51 | |
| 90656 | <1% | 15 | $217.43 | |
| 99451 | <1% | 12 | $208.46 | |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) | <1% | 522 | $205.19 |
| 90785 | <1% | 19 | $196.75 | |
| 90697 | <1% | 12 | $184.20 | |
| G0426 | Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth | <1% | 30 | $153.36 |
| 99441 | <1% | 34 | $147.50 | |
| 99221 | <1% | 15 | $125.65 | |
| 72082 | <1% | 14 | $116.47 | |
| 73140 | <1% | 13 | $89.10 | |
| 94726 | <1% | 17 | $87.33 | |
| 73590 | <1% | 18 | $86.90 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 20 | $53.21 |
| G0127 | Trimming of dystrophic nails, any number | <1% | 27 | $42.70 |
| 94060 | <1% | 12 | $32.78 | |
| 93990 | <1% | 12 | $21.16 | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 25 | $6.56 |
| T2023 | Targeted case management; per month | 0% | 1,314 | $0.00 |
| 99499 | 0% | 72 | $0.00 | |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 0% | 14 | $0.00 |
| 97803 | 0% | 33 | $0.00 | |
| 0124A | 0% | 15 | $0.00 | |
| 88142 | 0% | 206 | $0.00 | |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | 0% | 13 | $0.00 |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | 0% | 40 | $0.00 |
| 80048 | Basic metabolic panel (calcium, ionized) | 0% | 15 | $0.00 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 98 | $0.00 |
| 85018 | 0% | 31 | $0.00 | |
| 81001 | 0% | 34 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 207 | $0.00 |
| 87081 | 0% | 24 | $0.00 | |
| 80053 | Comprehensive metabolic panel | 0% | 50 | $0.00 |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 15 | $0.00 |
| U0005 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 | 0% | 14 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialMUNSON, JOLYN (VP REVENUE CYCLE OPERATIONS)
Parent organizationMARSHFIELD CLINIC HEALTH SYSTEM INC
| Provider | Location | Paid |
|---|---|---|
| MCHS Hospitals INC | Marshfield, WI | $45.31M |
| Marshfield Clinic INC | Marshfield, WI | $19.61M |
| MCHS Hospitals INC | Eau Claire, WI | $12.41M |
| Beaver Dam Community Hospitals INC | Beaver Dam, WI | $10.58M |
| Dickinson County Healthcare System | Iron Mountain, MI | $10.23M |
| MCHS Hospitals INC | Ladysmith, WI | $7.36M |
| MCHS Hospitals INC | Weston, WI | $6.40M |
| MCHS Hospitals INC | Eau Claire, WI | $4.14M |
| MCHS Hospitals INC | Minocqua, WI | $2.90M |
| Dickinson County Healthcare System | Iron Mountain, MI | $2.44M |
| Dickinson County Healthcare System | Iron Mountain, MI | $2.29M |
| MCHS Hospitals INC | Wausau, WI | $1.84M |
| MCHS Hospitals INC | Weston, WI | $1.22M |
| MCHS Hospitals INC | Minocqua, WI | $1.16M |
| MCHS Hospitals INC | Marshfield, WI | $988K |
| MCHS Hospitals INC | Ladysmith, WI | $867K |
| Beaver Dam Community Hospitals INC | Beaver Dam, WI | $847K |
| Dickinson County Healthcare System | Iron Mountain, MI | $648K |
| MCHS Hospitals INC | Marshfield, WI | $563K |
| MCHS Hospitals INC | Minocqua, WI | $338K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.